San Pedro Medical Clinic
NPI 1952624140 · Multi-Specialty Clinic/Center · San Pedro, CA
San Pedro Medical Clinic is a Multi-Specialty Clinic/Center organization in San Pedro, CA (NPI 1952624140).
Provider details
- NPI number
- 1952624140
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristina Kutsina, Manager(310) 831-9080
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-03-02
- Last updated
- 2010-03-02
Frequently asked questions
- What is San Pedro Medical Clinic's NPI number?
- San Pedro Medical Clinic's National Provider Identifier (NPI) is 1952624140, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Pedro Medical Clinic?
- San Pedro Medical Clinic is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is San Pedro Medical Clinic located?
- San Pedro Medical Clinic's practice location on file with NPPES is 715 S Averill Ave, San Pedro, CA 90732-3813.
- What is San Pedro Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for San Pedro Medical Clinic is (310) 831-9080.
- Who is the authorized official for San Pedro Medical Clinic?
- The authorized official listed on San Pedro Medical Clinic's NPPES record is Kristina Kutsina, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Pedro Medical Clinic's NPI active?
- Yes — San Pedro Medical Clinic's NPI (1952624140) is active in the NPPES registry as of the last update on 2010-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.